Even given the notable problems and challenges associated with Medicare’s Merit-based Incentive Payment System (MIPS), the program should be improved via pilot programs and demonstration projects, according to Gail R. Wilensky, PhD, economist and senior fellow at Project Hope and a former top health aide to President George H.W. Bush.

The Medicare Payment Advisory Committee (MedPAC) is set to recommend to Congress that the MIPS portion of the value-based reforms enacted under the Medicare Access and CHIP Reauthorization Act (MACRA) be eliminated and replaced with a Voluntary Value Program. MedPAC’s report is due to Congress in March.

“Although I agree with MedPAC about the problems it has identified, I am also concerned about the commission’s proposal,” Dr. Wilensky wrote in an editorial published in the New England Journal of Medicine (doi: 10.1056/NEJMp1801673). She noted that a lack of support from major medical associations, combined with the impending midterm elections, means that it would be challenging to get a legislative fix through Congress.

Read her suggestions on how to improve MIPS in the New England Journal of Medicine.


You May Also Like

Reactions to reactions

When patients say they had “a reaction” to some treatment, they often don’t mean ...

Home-based intervention improves cognitive impairment in cancer survivors

FROM JOURNAL OF CLINICAL ONCOLOGY A home-based intervention designed to address cognitive impairment in ...